Sandin Kekic, OTD, OTR/L
Individual provider Active NPI Occupational Therapist · Grand Rapids, MI
NPI 1376254458 · NPPES record last updated Mar 10, 2023
Key facts
- NPI
- 1376254458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5201013191 (MI)
- Practice address
- 2251 E Paris Ave SE
Grand Rapids, MI 49546-2431 - Phone
- (616) 447-7799
- NPI assigned
- Dec 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Health Center, Inc.
Practice addresses (Care Compare)
117 W Paterson St
Kalamazoo, MI 49007-2557
Phone (269) 349-2641
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 93.09
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230209000859 | MI | Practitioner - Occupational Therapist in Private Practice | 4880066356 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201013191 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay, Inc. | Current |
Accepting new patients | |
| Family Health Center Inc | Current |
Accepting new patients | |
| Family Health Center Inc | Current |
Accepting new patients |
Locations
2251 East Paris Ave SE
Grand Rapids, MI 49546
Phone (616) 447-7799
117 W Paterson St
Kalamazoo, MI 49007
505 E Alcott St
Kalamazoo, MI 49001
Phone 2693492641 ext. 715
570 E Division St
Rockford, MI 49341
Phone (616) 447-7799
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201013191 | MI | Yes |
Addresses
Primary practice location
2251 E Paris Ave SE
Grand Rapids, MI 49546-2431
Mailing address
201 Fulton St W
Grand Rapids, MI 49503-6201
Other practice location 1
570 E Division St
Rockford, MI 49341-1323
Phone (616) 447-7799
Other providers in Grand Rapids, MI
- Kevin Hastings Keith
- Pearl Shea Keith
- Philip Anthony Keith
- Abigail M.G. Keizer
- Mya Jolee Kekel
- Theodore Edward Kelbel
- Jordan Kellciut
- Abigail Keller
- Andrea Rae Keller
- Breanne Keller
All providers in Grand Rapids, MI · Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.